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Home My WebLink About2946 ._~~.~.,~_r,.<..:..._~..-_.-.:-~. - - . _ xu.s.: -.k-i.;,:~rx~. i • , . ' Declar,stlon ot Domicile and Citizenshlp Q ? i . . ~ i28'756 TO THE STATE AND GOUNTY TAX ASSESSOR, . • • ; ~ ST. ~IICtE C'Ot1NTY. FtORIDA: ~ Thii ts my deda~~tbn of Domkile and Citi~~nship in ths Stat~ of Florida that 1 am filinp this d~y 1~ aooordano~ a~d i~ oonformfty with Chapttr 2?Z, Ssction ~42.17, Florid~ Statut~. . Centrai Amerioa • • 1 was tormerly a Ipal rosident of ~~~el~~e~~~a6~f~~~,~_ Nioaragus . ; ~ (CitY1 (Stat~) ~ and 1 naided at . fbw~ver I haw d~n~d my domiyil~ ~ (Street and Number) ; ~o and am and Mve been a bona fids rosidMt of the Stat~ of fiorids stnoe d~y o¢ ~ ' ~ ' Augu~t 6~ ~ watere 'lh~lve ~ 19 , and 1 r~id~ at ~ (Stroet and Number) ~ lORT NERCE, SAINT UICIE COUNTY, lLORlDA~ ~ • ; - . and lhls staterr~t is ro be taksn es my dedsration of dti~~ip. actwl lepal ~etlda?as a~d domkii~ i~ th~ Stats of Horid~. i • , pnsert hsre a~y pertinent facts, such a~ ~le of propsrty or businsu, or ralinqui~ment of empioymsnt ~ ~ ~t former domidle, romoval of family to new cbmidle, purcha:s of IwRk. ettJ . i ~ . , ~ ~ . # ~ ~ ffiterin~ cl~ldred in lst and ~3rd aradee - ' I ; _ ~ . _ :128`756 ~ ~ ~ ~ ~ F~.Ep ~tp REC~ROEO _ . ; f ~ ~ . ~~flK . . ~ : `~.`~••.~ti';~~~'~„ ` . . . 5 f • ' 1964 SEP --3 AM 9~ 4 ~ ~ , . ~ ' ~ • ~ • .,,y, ~ . _ { ~ ; . t' ~ ' . , , ~ " ~ ~ 'ROGER POITRAS, CLfRK . r : z.: , : = ::t : ~ ~ I ..t,, Sj. lUClE C011NtY. FtORIDA _ . • ; tv 1 ~ • . ~ . 't. Vt•....`Q ~ { ~ ~E • - - ; . , ~ _ , _ - - _ i , ~ . ~ . --'~r""r'M~~ . • . ~ ' . • _ . . ~i : 1 . . . • ' c ~ ~ , I FURTHER C~TIFY ~Nf I WIII OOfM1~Ir WI1I1 OII 01~Nf f~{i~f'NIMf11i O~ f~ildOflf O~.N1~{ Sh1~. ~ . ~ ~ ~ . i 1 FURTNER CERTIFY thst i have no lntentlon to retum to my formsr domkjl~, and 1{MMd to rom~in in FOitT ~ PIERCE, SAINT lUC1E COUNTY, FLORIDA, permansntly. ' " . _ ~ ~ ~ ~ i , t ~ ' , . . , • ~ ' r 'M. _ ~ ) _ ~ ~ _ r.. . . ~ • ~ ~ ~ y ~ . , ~ t :t.'~~ 8hirls~ Arno ; ~ , r~ ~ _ . . ~ ; : . . ~i_ ; , . ~ . ~ , ; . (~?dd»ss~ ; . ~ • .....•~v.. f • t ~~E ~ 'ti - ' ~ ~_sworn a and wbs«ibed bsfor. me th~ - 3 d.y of L.._ ~ t9~.. . ~ , - . ~ ROIiER ~ ~ C~ GOURT ~ ' ; • Notary P~lio ~ ~ O.C.~ My Commiubn ~xpir~ ~ . - tTi b~ ~a~w~ i~ d~pNaN ~~eipM~l AMd w11~ q~ek CiraiN Gw~, a~d drplisM~ wIM~ Taoc A~~,~ . ~ • BbDK 77 F~1Lf ~~5 " -